First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for drug wastage not reported. Read to learn more about Medicare coverage guidance so you can document and submit claims for drugs and reporting wastage correctly.
When and how to file an appeal
When to file an appeal - Use this calculator to determine time limits for filing requests for all five levels of appeals.
C2C Innovative Solutions, the Part A East Qualified Independent Contractor (QIC), has the authority to conduct reopenings on previously adjudicated unfavorable claims. Learn more about the QIC their voluntary appeals discussion demonstration.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.